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Free flap reconstruction for early stage tongue squamous cell carcinoma: surgical margin and recurrence.
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- Author(s): Chien-Chi Lu; Yung-An Tsou; Chun-Hung Hua; Ming-Hsui Tsai
- Source:
Acta Oto-Laryngologica (Supplement). Oct2018, Vol. 138 Issue 10, p945-950. 6p. 1 Color Photograph, 2 Charts, 3 Graphs. - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: To identify the difference of surgical margin and recurrence status of early stage tongue carcinoma via wide excision in a single institution with and without free flap reconstruction. Objective: Survey whether the reconstruction methods for early tongue cancer affects disease control, survival outcomes. Methods: This was a retrospective study and patients with early tongue cancer underwent surgery via tumor ablation with (group 1=56) or without free flap reconstruction (group 2=291). Results: The percentage of patients with free margin less than 5mm was higher in the group 2 than in group 1 (49.48% vs. 19.64%, p<.001), as the mean free margin was significantly larger in group 1 than in group 2 (7.88mm vs. 5.68 mm; p<.001). Despite higher number of T2 stage patients in group 1 (89.29%), the group 1 resulted in a significant lower recurrence rate (p=.024). Conclusions: The utilization of free flap reconstruction for early stage tongue cancer achieved a large pathologic free margin and had relative lower recurrence and good survival rates. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Acta Oto-Laryngologica (Supplement) is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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